Grey-t Water Survey

Form
What state do you live in?*
Do you rent or own your home?*

RentOwn
How many individuals live in your household?*
What is your gross family income range (Optional)

$20,000-$40,000$50,000-$60,000$70,000-$90,000$100,000+

Have you bought a new home appliance in the last 3 years?*

YesNo
What factors go into your decision to buy a new appliance?

NeedEfficiencySustainabilityOther

Which of the following have you heard of?*

Solar EnergyBiodieselGreywaterRain BarrelZero WasteCompostNone
How many conservation measures do you have in your household?
(Ex. Low-flow shower heads, solar panels, LED lights, compost bin)

Are you conscious of your energy usage and spending? *

YesNoA little
Are you conscious of your water usage and spending? *

YesNoA little

Please input your email if you would like to hear back about the results of this survey
example@example.com
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